There are many options for women who no longer want to have children. Birth control pills, Depo-Provera injections (although long term use-over two years-has shown to cause demineralization of bone) there is Implanon implant that goes under the skin on your arm that offers 3 years of continuous protection then another can be inserted. You can also consider IUD implants that go into the uterus like Mirena that can provide 5 years continual protection against pregnancy before it needs to be replaced with another. All these are hormonal forms of birth control and they add hormones to keep you from ovulating. There are barrier methods, of course, like condoms and the diaphragm. Then there is permanent birth control like tubal ligation, otherwise known as getting your tubes "tied", but this requires a woman to undergo surgery. There is also the vasectomy which is performed on the male. It is surgery but it is much less invasive than tubal ligation is for a woman and vasectomy can be done under local anesthetic in a Drs office. I chose tubal ligation and I have never been happier. I never have to worry anymore about becoming pregnant. I would advise you to look at the pros and cons of each option and then decide what is best for your lifestyle.